Individual provider Active NPI

Christie Ilene Werynski, CNM

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1629287818
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010135 Issued in PA
Practice address
601 W. Walnut Street, Ste. 925E
Curtis Center Independence Square West
Philadelphia, PA 19106-3304
Phone
(215) 829-8000
Fax
(215) 829-3701
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 26NR09587000 NJ
Advanced Practice Midwife 367A00000X MW010135 PA Primary

Addresses

Primary practice location

601 W. Walnut Street, Ste. 925E
Curtis Center Independence Square West
Philadelphia, PA 19106-3304

Mailing address

601 W. Walnut Street, Ste. 925E
Curtis Center Independence Square West
Philadelphia, PA 19106-3304
Phone (215) 829-8000

Other practice location 1

1865 Route 70 E Ste 210
Cherry Hill, NJ 08003-2005
Phone (856) 795-0587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120521000067 PA Practitioner - Certified Nurse Midwife (CNM) 5395908867 Reassigns benefits to 1 organization
I20200212000025 NJ Practitioner - Certified Nurse Midwife (CNM) 5395908867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1865 Route 70 E 210
OB/GYN Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 795-0587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 16, 2013 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jan 1, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Sep 16, 2013 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jan 1, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Advanced Practice Midwife Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

601 Walnut St W
Philadelphia, PA 19106
Phone (215) 521-1400

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1629287818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W. WALNUT STREET, STE. 925E",
            "address_2": "CURTIS CENTER INDEPENDENCE SQUARE WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063304",
            "telephone_number": "215-829-8000",
            "fax_number": "215-829-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W. WALNUT STREET, STE. 925E",
            "address_2": "CURTIS CENTER INDEPENDENCE SQUARE WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063304",
            "telephone_number": "215-829-8000",
            "fax_number": "215-829-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Route 70 E Ste 210",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032005",
            "country_code": "US",
            "telephone_number": "856-795-0587",
            "fax_number": "856-795-0689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERYNSKI",
        "first_name": "CHRISTIE",
        "middle_name": "ILENE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "26NR09587000",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.